DR. CAROLINA MUJICA DMD
NPI 1124169313
Dentist - General Practice in Brookline, MA
NPI Status: Active since February 09, 2007
- Individual
- Female
- Dentist
- General Practice
- PECOS Enrolled
- Opted-Out Medicare
About CAROLINA MUJICA
This page provides the complete NPI Profile along with additional information for Carolina Mujica, a provider established in Brookline, Massachusetts with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1124169313 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 21448 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1124169313
- Provider Name
- DR. CAROLINA MUJICA DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1540 BEACON ST BROOKLINE, MA 02446
- Location Phone
- (617) 738-1950
- Mailing Address
- 1540 BEACON ST BROOKLINE, MA 02446
- Mailing Phone
- (617) 738-1950
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-09-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Carolina Mujica is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Carolina Mujica opted out of Medicare effective on 11-07-2017 until 11-07-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 21448
- License State
- MA
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| X09486 | OTHER (01) | MA | BLUE SHIELD |
Medicare Participation & PECOS Enrollment Status
Carolina Mujica is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 11-07-2017
Opt-Out End Date: 11-07-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02446 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 1 | 6 | 9 | 3 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 2 | 6 | 18 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 2 + 6 + 1 + 8 + 3 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1124169313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447254966 | DR. JUSTINE R KELLEY DMD Individual | Dentist (General Practice) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1346263381 | KENNETH ALLAN LAWTON DPM Individual | Podiatrist (Foot Surgery) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 566-2756 |
| 1972690691 | DR. RYAN DOUGLAS BLISSETT D.M.D. Individual | Dentist (Prosthodontics) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1871654988 | DR. BARBARA TOOMEY HAUSCHKA D.M.D. Individual | Dentist (General Practice) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1417144965 | ELITE DENTAL, INC. Organization | Dentist | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1861664286 | JOHN VARGAS D.D.S. , P.C. Organization | Dentist (General Practice) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1164651550 | RYAN D. BLISSETT, D.M.D., P.C. Organization | Clinic/Center (Dental) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1285924381 | MARIA A. MOSER DMD PC Organization | Dentist (General Practice) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1740216084 | DR. GABRIEL BOUSTANI D.M.D., M.S.D. Individual | Dentist (Periodontics) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1306235064 | GABRIEL BOUSTANI DMD PC Organization | Dentist (Periodontics) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1336391259 | DR. ANDREW J. MELCER D.M.D., M.P.H. Individual | Dentist (Periodontics) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1881141778 | JESSICA K. HSIEH, D.D.S., LLC Organization | Clinic/Center (Dental) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 505-4216 |
| 1295279073 | RYAN K MAY LLC Organization | Dentist (Prosthodontics) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1447795141 | ZENA AL-ADEEB DMD PC Organization | Dentist (Endodontics) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 935-1953 |
| 1154844892 | SEAN M. LANGTON, DMD, PLLC Organization | Clinic/Center (Dental) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1720618663 | DENTAL PARTNERS OF BROOKLINE Organization | Dentist | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1467026799 | YAEL FRYDMAN DMD PC Organization | Dentist | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1023689130 | DR. ZARRINA BABAKULOVA Organization | Dentist (General Practice) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
| 1417692187 | ALEXANDER KHALIL Individual | Dental Assistant | 1540 BEACON ST BROOKLINE, MA 02446 (781) 414-0495 |
| 1336732726 | DR. LIZA ISAAC DDS, BS Individual | Dentist (General Practice) | 1540 BEACON ST BROOKLINE, MA 02446 (617) 738-1950 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124169313, enumerated in the NPI registry as an "individual" on February 09, 2007
The provider is located at 1540 Beacon St Brookline, Ma 02446 and the phone number is (617) 738-1950
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on November 07, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 07, 2025.
This NPI record was last updated on February 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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